Checklist: Focus Five – First Aid Program Checklist

The time to unearth potential problems in your current workplace first aid arrangements is right now—before a medical emergency does it for you. Although first aid requirements can vary – there are FIVE sets of documents to focus on when conducting an audit of your first aid program.

  1. First Aid Policy
  2. Posted First Aid Notices
  3. First Aid Inspection Checklists
  4. First Aid Log Forms
  5. First Aid Refusal Forms
Yes No NA Comments
First Aid Policy
First Aid Needs Assessment Based On:
1.      Degree of hazards found at work site

 
2.      Number of people at site

 
3.      Time to get help from nearest medical facility

 
Procedures for summoning emergency medical treatment
Ambulance or other arrangements for emergency transport
First Aid Attendants/First Responders
Procedures for delivering first aid
First aid training and instruction
First aid kits
Dressing rooms
First aid rooms
Other emergency equipment
Inspection of first aid equipment and facilities
Posting of essential first aid information in the workplace
Coordinating with contractors working at the site
Required Postings – First Aid Notices for Workers (Conspicuously post notices of how/where to get first aid.)
Procedure for summoning emergency medical treatment
Location of first aid kits, dressing rooms and/or first aid stations
Names and locations of first aid attendants/first responders or others
qualified to provide first aid
Contact information for the nearest police and fire station, EMT or
ambulance, medical facility and other emergency contacts
First Aid Inspection Checklists
Create a checklist to inspect your first aid facilities and equipment have required components and in good condition.

Have a checklist for:
1.      Each level/type of first aid kit on site

 
2.      Dressing rooms
3.      First aid rooms
4.      Automated external defibrillators (AED)/emergency equipment
5.      In-house ambulances and other emergency transport vehicles.
First Aid Log Forms
You should have a template for recording key information about each episode of first aid provided.

Your form should include, at a minimum:
1.      Time, date, location and brief description of the injury
2.      How it occurred
3.      Name and position of injured worker/s
4.      Names/contact info of witnesses
5.      Treatment providers
6.      Treatment provided
7.      Was transport to medical facility provided
8.      Acknowledgement worker was advised to seek medical treatment if condition worsened
First Aid Refusal Forms
First Aid Refusal Forms
While you can’t force workers to accept first aid treatment or emergency transport, you can make them sign a form to acknowledge that they were offered such treatment and/or transport but voluntarily turned it down.

Note: The Refusal Form can be combined with the First Aid Log Form described above.

 

Date: _______________________________________________________________
Inspection Done By: ___________________________________________________